Organization
HORIZON SUBSPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN F GRODEN M.D. (OWNER)
(508) 961-2403
Entity
Organization
Contact information
Practice address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
Mailing address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
71961
MA
2080P0206X
Pediatric Gastroenterology Physician
71961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074013
—
MA
Enumeration date
12/08/2010
Last updated
12/08/2010
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